| NPI | 1508859513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3006510) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 297504) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2023-06-07 |