| NPI | 1225754104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 95022078) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95022078) |
| 207L00000X Anesthesiology (Licence: CA NA) | |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |