| NPI | 1093167843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2017002558) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: MO 2010007231) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2018-03-07 |