| NPI | 1205223989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 10374) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA 1731) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 236162) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-02-14 |