| NPI | 1679526255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2024005944) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 55102) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-03-22 |