| NPI | 1760104293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023020410) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 280929) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA280929) | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-01-28 |