| NPI | 1427205301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3007218) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 47161) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2021-12-07 |