| NPI | 1871924316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3013008) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0110539) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2019-04-09 |