| NPI | 1477963023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2014019282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2004018077) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2020-11-25 |