| NPI | 1194389627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2019019035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013019719) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-06-12 |