| NPI | 1063487957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN11113) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN78565) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN176823) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-03-12 |