| NPI | 1407302128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 111907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-126369) |
| 163W00000X Registered Nurse (Licence: TN RN0000184541) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-06-27 |