| NPI | 1972578581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007221) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 485189) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 104650) | |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2017-03-15 |