| NPI | 1922552645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 809138) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2021-11-19 |