| NPI | 1518631928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2633) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2125569) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-11-30 |