NPI | 1053585133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1192) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 147836-9) |
Enumeration Date | 2008-04-18 |
Last Update Date | 2020-08-04 |