| NPI | 1285020735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704285005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704285005) |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2017-01-17 |