| NPI | 1154523546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 282727) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3207) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 30005656APRN) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2017-01-16 |