| NPI | 1962738781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60577045) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 150796) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2017-01-05 |