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) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2011-06-09 |