| NPI | 1669780797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 4373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 641114) |
| 163W00000X Registered Nurse (Licence: NC 242063) | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2023-09-01 |