NPI | 1376521880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 0111) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R-117904-0) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2020-10-02 |