| NPI | 1578553327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3001063) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003829) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2014-01-31 |