| NPI | 1134567761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17759) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R869646) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2018-06-07 |