| NPI | 1457336802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 23189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1025806) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2012-03-19 |