| NPI | 1518921964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201802897CRNA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 55479) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55479) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2018-06-25 |