| NPI | 1053476721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 1754) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 386353) |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2007-07-15 |