| NPI | 1033671268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557726) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13127129042) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-09-17 |