| NPI | 1770560906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3002232) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 24021.0858) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2016-02-02 |