| NPI | 1700442282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2089090) |
| 163W00000X Registered Nurse (Licence: WI 192433) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2024-01-11 |