| NPI | 1215377445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GU 93135) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1977514) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2014-10-28 |