| NPI | 1225393143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3007893) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 88039) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2021-12-01 |