| NPI | 1063066736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61028187) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60995713) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2020-02-07 |