| NPI | 1407869530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN12242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN1178178) |
| 163W00000X Registered Nurse (Licence: GA RN135293) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2014-09-22 |