| NPI | 1073284378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3017817) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1148713) |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2022-06-03 |