| NPI | 1942763693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43557691) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-127100-031) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-06-07 |