| NPI | 1265899769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 21203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 181121) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-07-12 |