| NPI | 1003293689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2015016928) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-99853-031) |
| 163W00000X Registered Nurse (Licence: MO 2006030230) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557346-031) | |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2026-07-07 |