| NPI | 1295340446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 830315) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001494) |
| 163W00000X Registered Nurse (Licence: CA 95097135) | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2022-01-04 |