| NPI | 1932721560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2020013529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-129752-042) |
| 163W00000X Registered Nurse (Licence: MO 2014035050) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-06-11 |