| NPI | 1316332786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009380) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1141093) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2294) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2020-06-24 |