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 |