| NPI | 1720616527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2024042945) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95159967) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001570) | |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2025-04-26 |