| NPI | 1720053366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54193) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 102293) |
| 163W00000X Registered Nurse (Licence: KS 1339938031) | |
| 163W00000X Registered Nurse (Licence: MO 102293) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2008-03-31 |