| NPI | 1801566153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 215259) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 127774) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2025-01-28 |