| NPI | 1770769101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3005537) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 14577) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 45498) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2023-03-01 |