NPI | 1699318816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557722-102) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11015388) |
Enumeration Date | 2019-10-21 |
Last Update Date | 2022-06-06 |