| NPI | 1619947207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 679) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R144711-2) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2024-01-22 |