| NPI | 1245429612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 78340) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN RN0000140309) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2011-10-26 |