| NPI | 1265979868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201701955CRNA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R220797-9) |
| 163W00000X Registered Nurse (Licence: OR 201142425RN) | |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2017-04-30 |