| NPI | 1972176477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2804) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R49823) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R49823) | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2023-02-16 |