| NPI | 1073136503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2020016981) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2017016927) |
| 163W00000X Registered Nurse (Licence: KS 14-109351-081) | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-06-19 |