| NPI | 1871837096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704378030) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA rn10016113) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN607796) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2025-05-20 |