| NPI | 1154378529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 051013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1281022) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-06-11 |