NPI | 1396153631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3008898) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1141127) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2020-07-14 |