| NPI | 1083985402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009653) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 103428) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2016-11-21 |