| NPI | 1265834535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 104971) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 189376-30) |
| 163W00000X Registered Nurse (Licence: MN R-184126-8) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-12-30 |