| NPI | 1295722403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3003917) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10010157) |
| 163W00000X Registered Nurse (Licence: KY 1042912) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2023-07-12 |