| NPI | 1073258802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2022025860) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016022022) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-558264-042) | |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2026-07-27 |