NPI | 1063962678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000616) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 766099) |
Enumeration Date | 2016-10-06 |
Last Update Date | 2021-12-06 |