| NPI | 1255702650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60824091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201241617RN) |
| 163W00000X Registered Nurse (Licence: WA RN60817627) | |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2018-01-29 |