| NPI | 1306805353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R1359365) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 40758) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2010-01-20 |