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 |