| NPI | 1043290364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 1139776) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 10752) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2021-04-07 |