| NPI | 1912569161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61004264) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60570381) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 269062) | |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-09-12 |