| NPI | 1154178200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2024022378) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2009017350) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-558202) | |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-07-10 |