| NPI | 1255376760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54669) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 124621) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-12-12 |