| NPI | 1407204514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2016019126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-134491-051) |
| 163W00000X Registered Nurse (Licence: MO 2009014264) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2024-03-15 |