NPI | 1477009017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1990) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN R165348-5) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2020-10-02 |