NPI | 1962724757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-556972) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 151989) |
163W00000X Registered Nurse (Licence: KS 14-86382-082) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2010027209) | |
Enumeration Date | 2010-02-19 |
Last Update Date | 2024-05-23 |