| NPI | 1982766143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA170) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA RN305247) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN103162) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2018-08-17 |