| NPI | 1942467733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: KY 1096613) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1096613) |
| 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: KY 1096613) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2009-09-28 |