| NPI | 1780390633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP70016156) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024192639) |
| 163W00000X Registered Nurse (Licence: VA 0001225443) | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2026-04-06 |