| NPI | 1164180493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0999393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95099069) |
| 163W00000X Registered Nurse (Licence: CO 1619723) | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2026-05-21 |