| NPI | 1982355848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557994) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-127351-102) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-06-17 |