NPI | 1174963649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557183) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 98288) |
Enumeration Date | 2013-06-28 |
Last Update Date | 2021-01-27 |