| NPI | 1083677769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 148960-4) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A087738) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2017-05-03 |