| NPI | 1457728586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20616) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1135494) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2016-03-31 |