| NPI | 1386613644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3781A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1098038) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-09-20 |