| NPI | 1043257603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 151034) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1109166) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 050645) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2021-03-17 |