| NPI | 1013576123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002131) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC004111) |
| 163W00000X Registered Nurse (Licence: NY 732042) | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2026-07-20 |