| NPI | 1104448943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2020012946) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2005038282) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-27 |