| NPI | 1063695997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000013423) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00106637) |
| 163W00000X Registered Nurse (Licence: TN RN0000151199) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2017-09-13 |