| NPI | 1285884049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT NUR-RN-LIC-28382) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R186965-1) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2014-04-08 |