| NPI | 1083070825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95000445) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 9500045) |
| 163W00000X Registered Nurse (Licence: CA RN728662) | |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-05-13 |