| NPI | 1063524080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30004852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00042447) |
| 363L00000X Nurse Practitioner (Licence: WA AP30004852) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-07-15 |