| NPI | 1609964097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704190081) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 336435) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-01-26 |