| NPI | 1700745858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-558418-121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 152066) |
| Enumeration Date | 2026-01-15 |
| Last Update Date | 2026-07-24 |