| NPI | 1477088201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 55952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 40228) |
| 163W00000X Registered Nurse (Licence: KS 14-126679-032) | |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2017-10-04 |