| NPI | 1083680755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN059601) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN09218) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |