| NPI | 1780998088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 084248) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 084248) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2017-09-19 |