| NPI | 1902985088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 074163-1) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 023159) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2024-10-20 |