| 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 |