| NPI | 1336633940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557635) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 114935) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-09-26 |