| NPI | 1679594907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61160138) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9409620) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 13078197) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-06-02 |