| NPI | 1619824653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2026028224) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2019023862) |
| Enumeration Date | 2026-03-10 |
| Last Update Date | 2026-06-25 |