| NPI | 1952835746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2019040755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-139348-111) |
| 163W00000X Registered Nurse (Licence: MO 2012022500) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43557497111) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-12-22 |