NPI | 1023080389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 256) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 7477) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MN R142720-0) | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2021-02-04 |