| NPI | 1598248411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3012664) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 30) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |