| NPI | 1306224589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA 1746) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 240623) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2021-01-25 |