| NPI | 1245656271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2014017979) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 14114436022) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-09-11 |