| NPI | 1497414635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704355999) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 138477) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2025-06-25 |