| NPI | 1821306028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60966575) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 085062) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2019-07-24 |