| NPI | 1417633181 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704300496) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704300496) | 
| Enumeration Date | 2023-06-26 | 
| Last Update Date | 2023-08-24 |