| NPI | 1184971152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 28085) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000188602) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2020-08-25 |