| NPI | 1508260662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 105216) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 648683) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2015-11-04 |