| NPI | 1164935185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 23675) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 209217) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-01-29 |