| NPI | 1093192080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000203) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 22172) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |