| NPI | 1174710305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R153996-5) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 078527) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2014-08-08 |