| NPI | 1336473214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R177998-7) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 133926-030) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2011-11-18 |