| NPI | 1316600729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95162862) |
| 163W00000X Registered Nurse (Licence: GA RN246368) | |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-02-16 |