| NPI | 1457066482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61399620) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 141173) |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-06-30 |