| NPI | 1770943649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002640) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1093009193) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2025-07-08 |