| NPI | 1467134510 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002453)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95168003)  | 
| Enumeration Date | 2023-08-07 | 
| Last Update Date | 2025-01-08 |