| NPI | 1194055962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3006365) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1105516) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2014-09-05 |