| NPI | 1245695592 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009974)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28186204A)  | 
| Enumeration Date | 2015-12-30 | 
| Last Update Date | 2016-12-02 |