NPI | 1073005393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60905090) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60570129) |
Enumeration Date | 2018-06-01 |
Last Update Date | 2018-11-06 |