| NPI | 1083661466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 3951-33) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1542130) |
| 163W00000X Registered Nurse (Licence: MN R1542130) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2023-08-03 |