| NPI | 1396992533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704251214) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704251214) |
| 163W00000X Registered Nurse (Licence: CA 593665) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2022-05-24 |