| NPI | 1306287867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2015026457) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 94915) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2019-12-14 |