| NPI | 1104117886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557027) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 96296) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2014-03-28 |