| NPI | 1184688863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 049536) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 091572-6) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2015-07-16 |