| NPI | 1043669948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 25972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 192694) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3010991) | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2019-10-15 |