| NPI | 1154908135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61234448) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95109840) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001554) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2022-01-01 |