| NPI | 1013996727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 126897-7) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1329) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2021-09-10 |