| NPI | 1780132373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557963) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 113986) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2022-10-31 |