| NPI | 1811387079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60940469) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 384690) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2023-01-09 |