| NPI | 1306293501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 21473) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 135404) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-08-09 |