| NPI | 1134567761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3015572) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1180544) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2025-01-25 |