| NPI | 1962473058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 268) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R155641-4) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2024-11-15 |