| NPI | 1053688119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA4138) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0805) |
| 163W00000X Registered Nurse (Licence: CA RN587936) | |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2016-03-08 |