| NPI | 1538166327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557734) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-02726) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2019-11-07 |