| NPI | 1306289442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 90562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-101649-121) |
| 163W00000X Registered Nurse (Licence: MO 2011036789) | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2015-12-08 |