| NPI | 1427454248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 104956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 205771-8) |
| 163W00000X Registered Nurse (Licence: WI 193110-30) | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-12-19 |