| NPI | 1154540151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 1223) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 10296) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-04-09 |