| NPI | 1043383169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3003346) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 49713) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-10-14 |