| NPI | 1316376940 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 100356)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN R 153301-3)  | 
| Enumeration Date | 2013-11-04 | 
| Last Update Date | 2013-12-13 |