| NPI | 1639683691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2171) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 9979) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2020-10-13 |