| NPI | 1174085765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 118953) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2022-04-07 |