| NPI | 1154377323 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1635) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1318034) | 
| Enumeration Date | 2006-05-26 | 
| Last Update Date | 2024-11-21 |