| NPI | 1003608415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 155578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1153863) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-08-11 |