| NPI | 1902488315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2021022252) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO TBD) |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2021-08-17 |