| NPI | 1942171913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 107250) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 159813) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2026-09-13 |