| NPI | 1013269307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1509) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 777690) |
| 163W00000X Registered Nurse (Licence: TN 191464) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17352) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2020-09-11 |