| NPI | 1902873706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1467692052) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2013-09-23 |