| NPI | 1780191619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2203) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R205761-1) |
| Enumeration Date | 2017-12-31 |
| Last Update Date | 2021-01-22 |