| NPI | 1275650590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3005012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1085568) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2016-03-22 |