| NPI | 1366790487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN17093) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN126962) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-12-06 |