| NPI | 1366105652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA 61216988) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA AP61216988) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2023-12-18 |