NPI | 1396004834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704256562) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN262430) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704256562) | |
Enumeration Date | 2012-05-03 |
Last Update Date | 2022-02-09 |