| NPI | 1942752571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1973) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 111869) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2025-11-24 |