| NPI | 1699708651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 2243) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 404106) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2016-01-05 |