| NPI | 1023364452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 0661) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1697085) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2018-08-30 |