| NPI | 1578121224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 728685) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-09-18 |