| NPI | 1578543286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: HI APRN-3531) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704225909) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2023-07-28 |