| NPI | 1013364223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2016019129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010005771) |
| 163W00000X Registered Nurse (Licence: KS 14-123039-041) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557430-041) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-07-22 |