| NPI | 1376811745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 16611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN158219) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2014-08-11 |