| NPI | 1265703151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704373720) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 747301) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2021-07-21 |