| NPI | 1134601586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704231669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704231669) |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2018-10-12 |