| NPI | 1578084968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3011771) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1131732) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-10-19 |