| NPI | 1336175348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN11875) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN141038) |
| 163W00000X Registered Nurse (Licence: GA RN162481) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2013-09-12 |