| NPI | 1962830711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704272454) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704272454) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2019-09-03 |