| NPI | 1710527759 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95001855) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 128614) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61034245) | |
| Enumeration Date | 2020-01-07 | 
| Last Update Date | 2023-01-05 |