| NPI | 1073896130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3008990) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1141724) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2016-03-23 |