| NPI | 1205588209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2025010437) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11017315) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11017315) | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2025-05-07 |