| NPI | 1669968111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3012692) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 209900) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-11-30 |