| NPI | 1184169138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-30054) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2019-03-20 |