| NPI | 1831712439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2487) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MN 2481741) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2023-02-10 |