| NPI | 1164469276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54706) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 148513) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-554) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2014-07-29 |