| NPI | 1245763655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95001305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN669691) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R234769) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2020-10-22 |