| NPI | 1639359649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA3561) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 078633) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2021-04-30 |