| NPI | 1750340360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R34002) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CR000775) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR-000775) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R34002) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2023-12-27 |