| NPI | 1578555421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3000182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1043481) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2015-12-02 |