| NPI | 1699281220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2188) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 162558) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1558755) | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2021-09-16 |