| NPI | 1407249980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 19613) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 176158) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |