| NPI | 1740321249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019013530) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-052997) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2017005249) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2021-08-10 |