| NPI | 1265895478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1928) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 15771) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-09-27 |