| NPI | 1538524756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 700072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 806758) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2016-01-31 |