| NPI | 1336535434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2015018024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-104309-061) |
| 163W00000X Registered Nurse (Licence: MO 2007022222) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2020-12-23 |