| NPI | 1912975798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54652) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1348938071) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2014-03-03 |