| NPI | 1376516286 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 430) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R134518-8) | 
| Enumeration Date | 2006-02-10 | 
| Last Update Date | 2020-10-02 |