| NPI | 1013334572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 0391) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC SC214808) |
| 163W00000X Registered Nurse (Licence: MN 217827-3) | |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2018-03-17 |