| NPI | 1659994788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001316) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 130429) |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2022-05-05 |