| NPI | 1023617016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023039409) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AL 1-107268) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-107268) | |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2023-12-06 |