| NPI | 1053622720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60172251) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 084279) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2023-01-12 |