| NPI | 1174157192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704401180) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 227559) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 23957) | |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2023-07-28 |