| NPI | 1003143843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 14807) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN 149251) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2011-07-11 |