| NPI | 1194151787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171228) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704248809) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704248809) | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2014-03-17 |