| NPI | 1386602472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 12163) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 74755) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2016-05-18 |