| NPI | 1215232350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1787) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD SD-CRN CR000864) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2018-11-09 |