| NPI | 1154802452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2228) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2088525) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-09-24 |