| NPI | 1306224449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2015022744) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-115124-021) |
| 163W00000X Registered Nurse (Licence: WI 194853) | |
| 163W00000X Registered Nurse (Licence: MO 2011015340) | |
| 163W00000X Registered Nurse (Licence: IL 041409301) | |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2023-12-01 |