| NPI | 1093852493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 665621) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-10-04 |