| NPI | 1568765733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3006833) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1101343) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2011-02-10 |