| NPI | 1952775090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2159) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R246162-0) |
| Enumeration Date | 2015-11-29 |
| Last Update Date | 2018-05-23 |