| NPI | 1598815474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55557) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-45109) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-45109) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-12-14 |