| NPI | 1699963108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 0936) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2025-06-25 |