| NPI | 1518999853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54968) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 144782) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-02-11 |