| NPI | 1528734183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704394799) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4704394799) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2018007896) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2023-10-26 |