| NPI | 1821518549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43557517121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2008031201) |
| 163W00000X Registered Nurse (Licence: KS 14141212121) | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2018-05-31 |