| NPI | 1205335494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704253405) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 120416) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2022-09-09 |