| NPI | 1821103128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2006011321) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D166534) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557376-092) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0105404) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-07-25 |