| NPI | 1306194717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 090378) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1563313) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |