| NPI | 1952780850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2015018013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14118232102) |
| 163W00000X Registered Nurse (Licence: MO 2009000815) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557338) | |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2020-06-15 |