| NPI | 1689122970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2177407) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2026-09-21 |