| NPI | 1205220761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704271303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704271303) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN643881) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2022-01-13 |