| NPI | 1386674695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN08847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN039384) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2010-10-01 |