| NPI | 1063947380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557493-042) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14126241042) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-06-27 |