| NPI | 1356080451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3017838) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 137214) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-10-31 |