| NPI | 1316351919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901391) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA 60477472) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2020-11-27 |