| NPI | 1649576257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009386) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 15336) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2022-03-31 |