| NPI | 1114295961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 16388) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN RN0000156372) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2013-08-16 |