| NPI | 1811665417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61217677) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 138473) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2022-01-27 |