| NPI | 1760447908 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007036) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00158602) | 
| Enumeration Date | 2006-04-19 | 
| Last Update Date | 2017-03-08 |