| NPI | 1205636719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2025022500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2019023614) |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-08-11 |