| NPI | 1043663719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 22167) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 202250) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2017-02-13 |