| NPI | 1194184424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60759824) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 43501) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2022-02-14 |