| NPI | 1194134114 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001608)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA 2267172)  | 
| Enumeration Date | 2014-08-04 | 
| Last Update Date | 2022-03-16 |