| NPI | 1871037358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA1988) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R130635-0) |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2016-12-18 |