| NPI | 1215420351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 24949) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000197798) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-10-09 |