| NPI | 1215964622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 085069104RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00085262) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 085069104CRNA) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30004482) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |