NPI | 1396281978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 114702) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA2055) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MN 203970) | |
Enumeration Date | 2017-01-06 |
Last Update Date | 2017-05-26 |