| NPI | 1952498057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R133107-9) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R18467) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2014-04-17 |