| NPI | 1609298512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704254150) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704254150) |
| 163W00000X Registered Nurse (Licence: WV 80642) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 93278) | |
| 163W00000X Registered Nurse (Licence: KY 1138560) | |
| Enumeration Date | 2014-01-11 |
| Last Update Date | 2024-05-16 |