| NPI | 1104486877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704309721NSA190D3) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704309721) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-10-14 |