| NPI | 1487967485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 085065) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 27844) |
| 163W00000X Registered Nurse (Licence: MN R161269) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2023-10-19 |