| NPI | 1982072542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA56190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 708954) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2019-09-17 |