| NPI | 1235725292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704317743) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 131721) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2024-01-05 |