| NPI | 1215872346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13-147606-122) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-558405-122) |
| Enumeration Date | 2026-04-23 |
| Last Update Date | 2026-06-16 |