| NPI | 1205133725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11226) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 149825-5) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 206) | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2024-03-27 |