| NPI | 1790407187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2772) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 52912-30) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 236170-5) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 252912-30) | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2023-04-19 |