| NPI | 1699430678 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001723)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN651156)  | 
| Enumeration Date | 2021-11-03 | 
| Last Update Date | 2022-04-29 |