| NPI | 1023586187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3013970) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 218171) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2020-07-08 |