| NPI | 1083774954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 1326447121) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54045) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |