| NPI | 1861807869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4017985) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 103157) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2024-06-28 |