| NPI | 1255735718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 103354) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R2038371) |
| 163W00000X Registered Nurse (Licence: AZ RN156568) | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2017-04-19 |