| NPI | 1245631290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60728464) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60436834) |
| 163W00000X Registered Nurse (Licence: OR 201404974RN) | |
| 163W00000X Registered Nurse (Licence: AZ RN167220) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2021-02-23 |