| NPI | 1881298347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704368425) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704368425) |
| 163W00000X Registered Nurse (Licence: OH RN.430622) | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2021-08-18 |