| NPI | 1013026806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 12309) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN RN120096) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-08-13 |