| NPI | 1043689185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1234) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP4161) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2026-01-26 |