| NPI | 1194000885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0835) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1892314) |
| 163W00000X Registered Nurse (Licence: AZ RN143162) | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2018-12-05 |