| NPI | 1902092364 |
|---|---|
| Former Name | BETH CHRISTINE WALSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1523722) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |