| NPI | 1982027090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001458) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R197461) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2021-04-12 |