| NPI | 1215489133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201608366) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA 60702838) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |