| NPI | 1265452080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704192637) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 110628) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-02-28 |