| NPI | 1730697772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60829602) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN TBD) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2021-04-27 |