| NPI | 1194180786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 184660) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 109839) | |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2021-07-20 |