| NPI | 1689105959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704275912) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 114659) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-12-04 |