| NPI | 1861939191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001253399) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2023-10-15 |