| NPI | 1154949204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 135290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704319822) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-09-13 |