| NPI | 1982183521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 3584153) |
| 163W00000X Registered Nurse (Licence: HI 66266) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2021-05-26 |