| NPI | 1922487032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177632) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20309) |
| 163W00000X Registered Nurse (Licence: TN RN0000172475) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2019-06-18 |