| NPI | 1124646872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 844397) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: NY 683820) | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2022-11-07 |