| NPI | 1386946556 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 085937) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1118099) | 
| 163W00000X Registered Nurse (Licence: OH RN 322985) | |
| Enumeration Date | 2010-11-22 | 
| Last Update Date | 2012-04-18 |