| NPI | 1801448246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2025009739) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209019713) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2025-07-01 |