| NPI | 1043998867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-558336) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 153674) |
| 163W00000X Registered Nurse (Licence: PA RN685976) | |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2026-05-20 |