| NPI | 1164474599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN 10513) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN 112406) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 28562) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-06-12 |