| NPI | 1508539560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2796) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA TBD) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2024-07-31 |