| NPI | 1659882876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704378265) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 818374) |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2022-09-15 |