| NPI | 1386190742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3010715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1126249) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-09-15 |