NPI | 1073065538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA 1993) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN RN 18159-9) |
Enumeration Date | 2016-11-01 |
Last Update Date | 2016-12-11 |