| NPI | 1164164604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2022025022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041425149) |
| 163W00000X Registered Nurse (Licence: MO 2016040159) | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2024-05-09 |