| NPI | 1396215414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2019002283) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 145099) |
| 163W00000X Registered Nurse (Licence: MO 2018023566) | |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2019-01-28 |