| NPI | 1437813821 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2670) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2115485) | 
| Enumeration Date | 2021-10-22 | 
| Last Update Date | 2022-03-11 |