| NPI | 1063196277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704330668) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704330668) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-10-05 |