| NPI | 1790887420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 00120151) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 081044941) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30005107) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 2190) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2025-02-04 |