| NPI | 1851547426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1103496) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: KY 102867) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |