| NPI | 1083649719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1127) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1742590) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-11-04 |