| NPI | 1043245194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 7636) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 601132) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3740) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-10-12 |