| NPI | 1194563445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002435) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 758909) |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-12-17 |