| NPI | 1861009441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704279940) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NY 663348) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: CA 95165292) | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2021-03-08 |