| NPI | 1003341587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557486) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 119180) |
| 163W00000X Registered Nurse (Licence: OK 121314) | |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2018-06-20 |