| NPI | 1255399788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 12074) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 61578) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-02-19 |