| NPI | 1861910457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704274691) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 118449) |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2025-09-08 |