| NPI | 1245405638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 586) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R146650-4) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2020-08-04 |