| NPI | 1639178585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28181693A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 281348) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 5232a) | |
| 163W00000X Registered Nurse (Licence: KY 1083101) | |
| 163W00000X Registered Nurse (Licence: OH 281348) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2013-05-02 |