| NPI | 1730165382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54584) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 115679) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-12-02 |