| NPI | 1568916708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI RN 199089-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 218101-1) |
| 163W00000X Registered Nurse (Licence: WI 199089-30) | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2017-04-12 |