| NPI | 1841784063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3012474) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 118309) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-07-12 |