| NPI | 1366893224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4026112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1110483) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-08-14 |