| NPI | 1962466144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3005392) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C00606) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2019-07-12 |