| NPI | 1144293069 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 53) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R096349-3) | 
| Enumeration Date | 2006-02-10 | 
| Last Update Date | 2022-04-26 |