NPI | 1295791101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55149) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 76452) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2020-11-24 |