| NPI | 1952798845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2296) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704266242) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704266242) | |
| Enumeration Date | 2015-04-19 |
| Last Update Date | 2020-10-15 |