NPI | 1386865046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN 12788) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN144026) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-10-27 |