| NPI | 1912204017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 183565-6) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0991829-CRNA) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2023-08-16 |