| NPI | 1811403934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557563-101) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-142443-101) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2018-05-10 |