| NPI | 1225430614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1682) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R172318-2) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2018-09-25 |