| NPI | 1063178531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002280) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95254632) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2025-01-15 |