| NPI | 1689281172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3017153) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1169248) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2022-01-19 |