| NPI | 1376737627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R176114-4) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1761144) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2008-02-14 |