| NPI | 1801411699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43557787102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14139151) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-07-07 |