| NPI | 1477820793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3007310) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1058857) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2016-02-13 |