| NPI | 1932771961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704300782) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0020361) |
| 163W00000X Registered Nurse (Licence: MI 4704300782) | |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2022-08-31 |