| NPI | 1831529882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R-158661-7 CRNA 1766) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 589719-1) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2016-01-16 |