| NPI | 1689774077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA 1839) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 073842) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-02-09 |