| NPI | 1639547391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 733215) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2021-12-08 |