NPI | 1063452712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R93100-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R093100-1) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2012-02-22 |