| NPI | 1679268817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2846) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 828973) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-05-18 |