| NPI | 1215217567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN16054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN169765) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2012-08-07 |