| NPI | 1356753909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1414828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1414828) |
| 163W00000X Registered Nurse (Licence: WI 18802730) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-09-08 |