| NPI | 1023411642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000265) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 639926) |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2015-11-05 |