| NPI | 1790865442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1345478092) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-02-20 |