| NPI | 1275961658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704264252) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704264252) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2019-12-16 |