| NPI | 1114220217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN17371) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 192049) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2016-10-20 |