| NPI | 1467452540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1109859) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 027825) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4909A) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2011-01-11 |