| NPI | 1114994902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA0133) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R112765-2) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-08-04 |