| NPI | 1205139474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3006873) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1080198) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2016-09-21 |