| NPI | 1144614058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN rn0000135833) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2016-12-30 |