| NPI | 1891815445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704256997) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MI 4704256997) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-09-09 |