| NPI | 1346388469 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA4224)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 678948)  | 
| Enumeration Date | 2007-02-01 | 
| Last Update Date | 2017-12-15 |