| NPI | 1740561398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA4128) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 697899) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2016-10-24 |