| NPI | 1972275402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3017821) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: KY 1153756) |
| Enumeration Date | 2021-10-03 |
| Last Update Date | 2022-07-26 |