| NPI | 1588383954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023022165) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013030359) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2023-06-19 |