| NPI | 1659735579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 54131) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY TP277) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2020-07-21 |