| NPI | 1104237577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95000196) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000196) |
| 163W00000X Registered Nurse (Licence: CA 754751) | |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2016-11-29 |