| NPI | 1598713125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 4355510121) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 071690) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-07-29 |