| NPI | 1710240999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43557095071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 101993) |
| 163W00000X Registered Nurse (Licence: MO 2009004628) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2014-07-30 |