| NPI | 1275802142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-558342) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 089508) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2025-12-19 |