| NPI | 1871906313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 103372) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 166268-3) |
| 163W00000X Registered Nurse (Licence: WI 180558-30) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-10-02 |