| NPI | 1043628662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95000849) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 103001) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2024-04-01 |