NPI | 1982942215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3007873) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1115258) |
Enumeration Date | 2013-01-22 |
Last Update Date | 2023-07-14 |