| NPI | 1144752767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2017015823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010021381) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2019-02-02 |