| NPI | 1891890521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704122991) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 036253) |
| 163W00000X Registered Nurse (Licence: NC 234550) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-07-29 |