| NPI | 1174930309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R33304) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN r 193968-8) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2021-07-09 |