| NPI | 1316037419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704365005) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 2615) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-05-05 |