| NPI | 1922513662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60894982) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 155707) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2021-08-03 |