| NPI | 1871271155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2466151) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND 200646) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2025-01-21 |