| NPI | 1376058479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2025013106) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21580) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2025-07-30 |