| NPI | 1306576723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001896) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 691049) |
| 207L00000X Anesthesiology (Licence: CA 138937) | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-11-16 |