| NPI | 1235298613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN12387) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 112725) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-05-19 |