| NPI | 1003134966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 16110) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN RN0000101594) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2022-03-28 |