NPI | 1750404075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA RN308108) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA CRNA2036) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-07-08 |