| NPI | 1972110815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3015641) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1129317) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2021-01-15 |