| NPI | 1518480565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9485916) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: KS 13-110258-101) |
| 207L00000X Anesthesiology (Licence: KS 43-557514-101) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2018-06-19 |