| NPI | 1194744425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1040) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN r089252-2) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-04-16 |