| NPI | 1548228547 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA 1936)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 206251)  | 
| Enumeration Date | 2006-05-02 | 
| Last Update Date | 2017-05-03 |