| NPI | 1194285353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704299424) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 291373) |
| 163W00000X Registered Nurse (Licence: MI 4704299424) | |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2021-05-20 |