| NPI | 1902330970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2145) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 146574) |
| 163W00000X Registered Nurse (Licence: WI 224865) | |
| 163W00000X Registered Nurse (Licence: MN R 152901-4) | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2018-01-05 |