| NPI | 1811326705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 189275-4) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 100377) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2014-01-03 |