NPI | 1114038684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54295) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1459834032) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-10-04 |