| NPI | 1851844716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA 60325026) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 899871) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2020-08-23 |