| NPI | 1417599200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3014174) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 203898) |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2020-01-08 |