| 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 |