| NPI | 1609325257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1995) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R2055820) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-12-12 |