| NPI | 1801861695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 366) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R102961-1) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2021-02-16 |