| NPI | 1770986515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009137) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 173705) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2015-05-04 |