| NPI | 1689917734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2018032911) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 14-102404) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2023-12-12 |