| NPI | 1902230014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 415) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R174614-3) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2020-12-18 |