| NPI | 1619954385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61110526) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 243137) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2023-07-10 |