| NPI | 1063516599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4889A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1091370) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-09-20 |