| NPI | 1770710618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R160778-7) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 165482-030) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2016-01-15 |