| NPI | 1316786635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2024022662) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 558216) |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2026-03-16 |