NPI | 1104173202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 090383) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 191432-8) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11016774) | |
Enumeration Date | 2012-08-07 |
Last Update Date | 2024-12-11 |