| NPI | 1356742217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001902) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201403379RN) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 54343) | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2023-08-29 |