| NPI | 1407195472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009106) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1142154) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2016-03-22 |