NPI | 1205115136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 254) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1530883) |
Enumeration Date | 2011-08-09 |
Last Update Date | 2021-03-08 |