| 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 |