| NPI | 1689619066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3001710) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1041407) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2016-03-22 |