NPI | 1164748489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1460) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1654264) |
Enumeration Date | 2010-04-12 |
Last Update Date | 2020-08-04 |