| NPI | 1164720025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 202208498CRNA-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10040206) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60201665) | |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2025-03-18 |