| NPI | 1750617064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 14-88171-022) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-556931-022) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2010-01-30 |