| NPI | 1487697363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704215104) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704215104) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-06-01 |