| NPI | 1013329465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 18847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R876973) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2017-12-20 |