| NPI | 1043909641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023020402) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018020468) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-06-12 |