| NPI | 1023304755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4025419) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN312112) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.12884.NA) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-08-19 |