| NPI | 1790291300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 9832-33) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2154) |
| 163WG0000X Registered Nurse, General Practice (Licence: MN 177249-2) | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2022-08-09 |