NPI | 1013494111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704307208) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704307208) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2023-10-23 |