| NPI | 1801463351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3018013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 221903) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2022-08-09 |