| NPI | 1023496692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 749806) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2018-07-17 |