| NPI | 1992455174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-558014-102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014002405) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2022028091) | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-07-27 |