| NPI | 1700213964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI In process) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704266576) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2016-12-15 |