| NPI | 1356748529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704259330) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI L545924) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2018-12-26 |