| NPI | 1366839391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20161) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 174726) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-10-16 |