| NPI | 1275080202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP6001894) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 112871) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2021-06-10 |