| NPI | 1669979670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704308220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2293762) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2019-10-02 |