| NPI | 1750856811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023030190) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 26083) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR R098056) | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2023-12-21 |