| NPI | 1033781372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2727) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC003984) |
| 163W00000X Registered Nurse (Licence: MO 2014012425) | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2022-09-07 |