| NPI | 1114313608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61245731) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 98309) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2022-09-30 |