| NPI | 1083082374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557382) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-104736-062) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2018-11-28 |