| NPI | 1831703602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001395) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 732275) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-02 |