| NPI | 1528513975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 178988 3) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1979) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-11-22 |