| NPI | 1154756658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3014230) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17996) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2020-01-28 |