| NPI | 1942844931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61279122) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 126584) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2022-11-14 |