| NPI | 1861637605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704201875) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704201875) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2021-01-07 |