| NPI | 1417596396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704307508) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 129603) |
| Enumeration Date | 2019-12-25 |
| Last Update Date | 2025-08-18 |