| NPI | 1194398925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3017338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1148716) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2022-01-26 |