| NPI | 1922502111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2018022891) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 183187) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 118208) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-01-09 |