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: MO 2006030230) |
Enumeration Date | 2015-05-02 |
Last Update Date | 2023-06-29 |