| NPI | 1205964061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 76739) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 076739) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2022-05-02 |