NPI | 1235645904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2195) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R-171982-4) |
Enumeration Date | 2017-12-18 |
Last Update Date | 2024-08-09 |