| NPI | 1164535126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54696) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 096851) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2014-03-03 |