| NPI | 1578550786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3004298) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28171598A) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1103388) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2023-04-26 |