| NPI | 1629554506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000982) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 769048) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2021-12-01 |