| NPI | 1235196791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 10602) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 82262) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 070282) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2015-01-05 |