| NPI | 1962057562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001729) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95062609) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2023-05-19 |