| NPI | 1790251775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3013040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000213879) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2020-08-31 |