| NPI | 1124670765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704297361) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4704297361) |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2019-10-11 |