| NPI | 1922881713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4008692) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 231249) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-11-20 |