| NPI | 1902870801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 81) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R116479-6) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 11047) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-07-16 |