| NPI | 1235212622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 649605) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-01-03 |