| NPI | 1235869223 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002618) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 319968) | 
| Enumeration Date | 2022-06-14 | 
| Last Update Date | 2025-09-08 |