| NPI | 1740258763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3004787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1099526) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 4787A) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-11-02 |