| NPI | 1831843564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001722) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 846844) |
| 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: CA 95001722) | |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2023-04-25 |