| NPI | 1417273764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 959) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R171556-9) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2020-10-02 |