| NPI | 1598593295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61596364) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 148892) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-10-01 |