| NPI | 1396160867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 0114) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R2038973) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2017-10-27 |