| NPI | 1962446062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9487542) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1109250) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4852A) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-03-11 |