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 |