| NPI | 1295769578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3007160) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 22714) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-04-10 |