| NPI | 1760861454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-94102-102) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2016-12-12 |