| NPI | 1174069637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201906836CRNA-PP) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 794226) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60737506) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2019-10-18 |