| NPI | 1699909820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 13-87619-072) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2005020997) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2019-12-15 |