| NPI | 1356139380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP70014682) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016002776) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 155383) | |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2026-01-12 |