| NPI | 1013645456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002746) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95053368) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2025-11-05 |