| NPI | 1679174932 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557846-051) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 14-147442-051) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2021-02-12 |