| NPI | 1710763313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2024033973) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 151169) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-08-22 |