| NPI | 1700250271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704278856) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9374213) |
| 163W00000X Registered Nurse (Licence: MI 4704278856) | |
| Enumeration Date | 2015-11-21 |
| Last Update Date | 2021-03-31 |