| NPI | 1861965808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60930252) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60909830) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-28 |