| NPI | 1093969453 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1011) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R144371-8) | 
| Enumeration Date | 2008-11-12 | 
| Last Update Date | 2024-11-08 |