| NPI | 1679834956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 387) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1705249) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 655587) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2019-06-26 |