| NPI | 1528339793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3007304) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1114495) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2022-06-09 |