| NPI | 1073555082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3533) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95001082) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2017-01-20 |