| NPI | 1083485403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95174754) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 157478) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2026-01-29 |