| NPI | 1114049004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704221541) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704221541) |
| 207L00000X Anesthesiology (Licence: MI 4704221541) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-03-12 |