| NPI | 1083246284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 124044) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 11450) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2021-11-18 |