| NPI | 1316391279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1900) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 142724-2 CRNA 1900) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2020-10-02 |