| NPI | 1093173064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA 1924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R-192262-4) |
| 163W00000X Registered Nurse (Licence: MI 4704290170) | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2020-09-18 |