| NPI | 1942431275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023036507) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R084447) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C002778) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2023-11-17 |