| NPI | 1720616527 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN10023148)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95159967)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001570)  | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2024042945)  | |
| Enumeration Date | 2020-03-29 | 
| Last Update Date | 2025-08-20 |