| NPI | 1104960699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WA RN00082612) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA RN00082612) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30004831) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-11-30 |