NPI | 1295346625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704312353) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704312353) |
Enumeration Date | 2020-08-10 |
Last Update Date | 2023-08-04 |