| NPI | 1609935568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3005106) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1074359) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2022-03-17 |