| NPI | 1619320694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1938) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA 1938) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2020-09-17 |