| NPI | 1942889258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 142500) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-08-31 |