NPI | 1255300083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 921) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R156364-3) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2022-02-01 |