| NPI | 1053960922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95001711) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN673585) |
| 163W00000X Registered Nurse (Licence: CA 95192787) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2022-04-29 |