| NPI | 1275009714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704300501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704300501) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2025-05-13 |