| NPI | 1073866547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28124198A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28124198A) |
| 163W00000X Registered Nurse (Licence: KY 1128118) | |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-12-18 |