| NPI | 1982114195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 83905) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 83905) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2021-05-05 |