| NPI | 1598864688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3000860) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 860A) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-11-22 |