| NPI | 1700143328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43557080072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14100436072) |
| 163W00000X Registered Nurse (Licence: MO 2009010446) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-10-22 |