| NPI | 1538511456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557433) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-112162-052) |
| 163W00000X Registered Nurse (Licence: MO 2010024324) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2016025009) | |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2016-07-19 |