| NPI | 1407187826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3006338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 6338) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2019-07-03 |