| NPI | 1225494891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 21297) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9283777) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-08-05 |