| NPI | 1164845749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 100753) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 686783) |
| 163W00000X Registered Nurse (Licence: FL RN9203701) | |
| Enumeration Date | 2014-02-02 |
| Last Update Date | 2022-02-11 |