| NPI | 1912650789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2355193) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2023-11-27 |