| NPI | 1124663950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61135164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN694663) |
| 163W00000X Registered Nurse (Licence: WA RN60060777) | |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2021-01-16 |