NPI | 1962985291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA CRNA95000973) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 803183) |
Enumeration Date | 2018-09-12 |
Last Update Date | 2021-09-27 |