| NPI | 1356133623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2025021619) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 155384) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-06-25 |