| NPI | 1174597017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA130) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN RN0000096244) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000010993) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-05-14 |