| NPI | 1346310141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 10232) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 046921) |
| 174400000X Specialist (Licence: KY 2987A) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2018-03-17 |