| NPI | 1558397414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 13-075944-041) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 148956) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-08-31 |