| NPI | 1801147798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60346150) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 576459) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2014-03-26 |