| NPI | 1083127336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 119783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-135315-102) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-05-10 |