| NPI | 1538808019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704316692) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 21206075329) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-08-22 |