| NPI | 1861243297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024190617) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001259711) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-07-30 |