| NPI | 1053603423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 15874) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 144047) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2014-07-24 |