| NPI | 1053327940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 049475) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-045249) |
| 163W00000X Registered Nurse (Licence: TN 109439) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2025-09-11 |