| NPI | 1114167608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 130545-8) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 14117) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 100290) | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2023-06-26 |