| NPI | 1124375258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1236) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 171909-30) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2023-11-08 |