| NPI | 1477532331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 107070-9) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 635757) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2018-04-13 |