| NPI | 1437554334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 650) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 103373) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2023-09-28 |