| NPI | 1174932941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4703112430) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703112430) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2024-11-13 |