| NPI | 1669446712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1069) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R101084-0) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-12-07 |