| NPI | 1760152243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704380129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704380129) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2026-04-16 |