| NPI | 1679777197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55604) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 76215) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2000168195) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 1376215081) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2022-10-11 |