| NPI | 1639665201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704295388) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 3373) |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2026-09-11 |