| NPI | 1003540097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 143923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R203078-0) |
| 163W00000X Registered Nurse (Licence: WI 250903-30) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2023-06-27 |