| NPI | 1609178516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 086780) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1077189) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2011-11-15 |