| NPI | 1962741892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95179891) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9268884) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2022-01-03 |