| NPI | 1619361375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 189956-6) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-11-25 |