| NPI | 1780048702 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1912) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 180215-5) | 
| Enumeration Date | 2016-04-06 | 
| Last Update Date | 2024-11-15 |