| NPI | 1912008970 |
|---|---|
| Former Name | CONNIE JANEL MAGNUSSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2005022431) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-12-09 |