| NPI | 1912670985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3016989) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: KY 1140644) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2022-11-09 |