| NPI | 1568871036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 485) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R173990-1) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 183166) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2021-10-01 |