| NPI | 1720489644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201700540CRNA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60215136) |
| 163W00000X Registered Nurse (Licence: OR 201140355RN) | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2018-05-25 |