NPI | 1164527032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3005041) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1095803) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2016-03-22 |