NPI | 1528195518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA RN398128) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA CRNA2139) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2007-07-08 |