| NPI | 1750086575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 558115) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 144385) |
| 163W00000X Registered Nurse (Licence: MO 2014021326) | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-04-15 |