| NPI | 1003999855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2009018972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 91104) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-03-04 |