| NPI | 1679607527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3005296) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA 103843) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2015-06-02 |