| NPI | 1790211167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2058) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 115218) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2020-10-05 |