| NPI | 1073550117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 130198) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19814) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 13098) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-10-27 |