| NPI | 1578694097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704248078) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: MI 4704248078) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-06-06 |