| NPI | 1609114503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001510) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95242186) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN574456) | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2024-09-30 |