| NPI | 1720674484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001465) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA 95023830) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2021-12-22 |