| NPI | 1053622092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557009-042) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 131453) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2022-12-29 |