| NPI | 1255765368 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN18017)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN153511)  | 
| Enumeration Date | 2013-08-26 | 
| Last Update Date | 2013-10-30 |