| NPI | 1962177956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704404299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-169764) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2025-06-17 |