| NPI | 1508006958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 0009) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 156579-3) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 220874) | |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2021-05-05 |