| NPI | 1093752842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54707) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 154970) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-09 |