| NPI | 1578973970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4000105) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 93578) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2023-05-11 |