| NPI | 1528575214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3011963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1127726) |
| 363L00000X Nurse Practitioner (Licence: KY 3011963) | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-09 |