| NPI | 1780114850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60849421) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: NV RN56252) |
| 207L00000X Anesthesiology (Licence: NV RN56252) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2023-07-21 |