| NPI | 1932520731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 135680-5) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1371) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN R-135168) | |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2019-06-07 |