| NPI | 1033002803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2025021283) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 155378) |
| Enumeration Date | 2025-05-31 |
| Last Update Date | 2025-06-12 |