| NPI | 1063888378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20936) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000177206) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172961) | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2018-07-10 |