| NPI | 1447645924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 169210) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009533) |
| 163W00000X Registered Nurse (Licence: KY 1143602) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-07-08 |