| NPI | 1770078677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2020021046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010022531) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-07-10 |