NPI | 1821233180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704242622) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704242622) |
Enumeration Date | 2008-12-15 |
Last Update Date | 2020-07-16 |