| NPI | 1336181817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 046707) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 106747-9) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR00075R) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SD R024407) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-04-28 |