| NPI | 1912411414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-94795) |
| 207L00000X Anesthesiology (Licence: KS 557559) | |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2018-04-26 |