| NPI | 1881149037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174482) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001261509) |
| 163W00000X Registered Nurse (Licence: DC RN1034571) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2017-03-02 |