| NPI | 1790977312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 1308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 408517) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2008-06-30 |