| NPI | 1023413952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61066038) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY NY602635) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2023-01-13 |