| NPI | 1710410303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557499) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-112912-052) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-07-06 |