| NPI | 1912457110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA 1969) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R200037-0) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2020-12-18 |