| NPI | 1720411234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 078623-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704276638) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60697097) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2023-12-13 |