| NPI | 1437622099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704358449) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2005715) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2320) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2020-04-16 |