| NPI | 1851066500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024188296) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201807824RN) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 202200585CRNA) | |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2024-05-09 |