| NPI | 1902138258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168653) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001174542) |
| 164W00000X Licensed Practical Nurse (Licence: VA 0024168653) | |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2014-06-11 |